No I am still having periods. I have had an ultrascan and nothing was found except a very thin edometrial lining. I have been told this is the lightly cause as blood vessels are not being properly closed off.

I had my period 10 days ago and it has just started getting fresh blood showing again.

If the bleeding really was due to atrophic endometrium, then tranexamic acid may help, and mefanamic acid probably would not. Tranexamic acid works to help the blood coagulate, so it may be helpful. Mefanamic acid works to reduce prostaglandins, which are produced in the uterine lining. In women with heavy periods, they tend to have increased prostaglandins, but I don't think that would be true with an atrophic endometrium.

However, I doubt very much that your bleeding problem is due to atrophic endometrium. Perhaps it's possible, but atrophic endometrium tends to cause bleeding problems after menopause, and not before. As long as there are normal hormones, most all endometrium will grow and develop. It would be easy to know, since if you take birth control pills for 1 month, that will give your endometrium normal stimulation to grow, and most likely it will stop your abnormal bleeding. It's just far more likely that your bleeding is caused by hormonal changes, and taking the birth control pill will correct the hormones (at least while you're taking it). Sometimes the pill takes 2 months to cause normal periods without breakthrough bleeding.

You could try either tranexamic acid or me mefanamic acid to see it they help. But I think it's far more likely that your bleeding is related to some hormonal changes, and in that case, hormones are needed to correct it.

I am taking microgynon 30 and have been for 15 years. They were normal until about 6 months ago when I started getting prolonged periods and spotting through the cycle. The last couple of periods have been extremely heavy at times.

This one that started 10 days ago never really finished properly as I contined to get brown spotting, which today has turned red again with a slight cramps.

Thank you. Now I understand.Combined birth control pills can actually cause bleeding due to endometrial atrophy. The progesterone in the pill causes the lining to get so thin that it bleeds easily. I didn't realize that you were taking the pill. So your bleeding is also hormone caused, due to the progesterone. Since it is, it can usually be resolved by switching to another pill, stopping the pill for a month to let the endometrium thicken up, or adding some estrogen to the pill, which tends to counteract the progesterone and thicken the endometrium.

Probably the easiest thing for you to do is to switch to a more estrogen dominant pill. Some pills, such as microgynon 30, are more likely to cause the kind of bleeding that you're having. Other pills, such as Desogen, Demulen, and Yasmin are far less likely to cause it, and likely to resolve it. A good alternative would be to stop the pill for 1 month, let the lining thicken, then start a different pill.

I have been told that because of my age they will not like to prescribe me higher doses of estrogen.............if I came off of the pill is there any guarantee at my age that my own estrogen levels would be high enough to thicken the lining?

Desogen and Yasmin each have 30 mcg of estrogen, the same as your Microgynon 30. It's because of the progestin that they tend to act more estrogen dominant. However, any estrogen risk associated with age (blood clot risk) seems to be the same.

It's true that at age 48, your ovaries might not produce much estrogen. If you went off the pill, you could take a low dose estrogen pill for a month. Without the progesterone of the pill, that would thicken your endometrium.

Could I not take some kind of estrogen supplement for a few months alongside my existing pill to see if it makes a difference? If it does then I know that's the problem and then can address what to do?

Also is it possible to double up for a few days by taking 2 pills in one day to stop this bleeding?

I understand it's not recommended for long term use but if it could help thicken the lining and therefore stop these problems I could then change to a different make of pill such as Yasmin as you suggest?

You can thicken the lining by going of the pill (and thereby stopping the progesterone, which is causing the thin lining) and taking a low dose of estrogen. Or by using a more estrogen dominant pill (which still has only 30 mcg of estrogen).

Even short term use of extra estrogen will increase the risk of a blood clot.

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